Rossini F P, Risio M, Pennazio M
Gastroenterology-Gastrointestinal Endoscopy Service, Department of Oncology, S. Giovanni A.S. Hospital, Turin, Italy.
Gastrointest Endosc Clin N Am. 1999 Jan;9(1):93-114.
Tumors of the small bowel are uncommon and seldom suspected on a clinical basis. Together with the relative inaccessibility of the small bowel to endoscopic investigation, the rarity of these tumors undoubtedly delays the diagnosis. Small bowel tumors may be an interesting field of application for enteroscopy, which now can be readily performed with dedicated enteroscopic evaluation in patients with suspected small bowel neoplasia could improve prognosis and treatment. Enteroscopy may also play an important role in the surveillance of inherited polyposis syndromes, as in other precancerous condition of the small bowel. In Peutz-Jeghers syndrome it may reduce polyp-induced complications and improve planning for surgery; in familial adenomatous polyposis it may contribute to preventing upper gastrointestinal tract cancer.
小肠肿瘤并不常见，临床上很少能怀疑到。加上小肠相对难以进行内镜检查，这些肿瘤的罕见性无疑会延迟诊断。小肠肿瘤可能是小肠镜检查一个有趣的应用领域，现在对于疑似小肠肿瘤的患者可以通过专门的小肠镜评估来轻松进行，这可能会改善预后和治疗。小肠镜检查在遗传性息肉病综合征的监测中也可能发挥重要作用，就像在小肠的其他癌前病变情况中一样。在黑斑息肉综合征中，它可以减少息肉引起的并发症并改善手术规划；在家族性腺瘤性息肉病中，它可能有助于预防上消化道癌。
